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i ��,,, �„�,<,�,..,� <br />I�_,��, ,�� <br />� everett <br />� � ,..,:, � <br />i„„� � ..., . ;,: . <br />���:�� <br />0(1'I 0� CI11.�.a1Vy�iY <br />OE VLL OP9f Yi <br />OWNERy� <br />� �.�V � <br />I <br />� AfiCHITECT OR OESIGNI <br />i <br />I, <br />�� <br />CONSTRUCTIUN <br />PERMIT' <br />BUILDING MECHANICAL <br />A1�IL AOOR655 ZIP <br />!i33 243LZt s�s:'. Ienr�oo� <br />R <br />PLUMBING <br />everett <br />' ' I x3"�7G <br />ti�. i <br />�! <br />V[RMIT CLASSOF WOFK <br />�OUILOING L]PWfApING ❑MECIIANIC/�L <br />❑NEIV ❑AO�ITION ❑ALTERFiIOM1 �RLPAIfi <br />V�WMION OF WORK <br />5 A'¢� M ❑D[MOI-�`.;H ❑PENC[ GZIGN ❑SWIMMING POf.L <br />G r! _— _ <br />oescamr woiiK <br />YilfrC��.QC 2�i' �t'9 <br />rraoFos�o use MECHANICAL <br />r�v�ori�uii-[]�ii �]Nnr. �i.rc. <br />�LGnL LtFSCHIPrION oF r(ioPERT / ISHUw tiELO'v OH MtncH ��' <br />FOU11 COPIESI <br />NO. TVPE OF EOUIPMEN7 <br />LOT BLOCK_OF—_ pIRCOND UNITS ��.�.EA. <br />JOt3 Aq(�[y' � � � <br />([Jii <br />PLUMBING <br />PEfRIGLRATIO�J UNITS -H.P. EA. <br />pO1LEP$--IIP. C.A. <br />GAS FIfiEO A.C. UNITS -TONNl�GE EA. <br />FORCEO nIR SVSTEMS-U.i.U. M EA. <br />lYl+LI_I1EAi[PS-O.T.U. M <br />UNIT HEATERS-O.T.U. M <br />EVAPONATNECOOLEqS <br />CLOTHES DRVEFS <br />VENTILATION FAN <br />PAiVGE HOOD <br />AIP MANDLING UNIT- C.f.M. <br />EM FEE - iniCiNERnron <br />KITCHEN.SINK & OISP. <br />�ISIiWA511Eq <br />LAUNORY TFinV <br />CIOTHES WASNER <br />WATEH HEATEP _ <br />VRINAI <br />ORINKING FOUNTAIN <br />FLOOH-SINK OR [JRAIN <br />VACUUh10R[AKERS <br />ROOF OPAINS-RAINLEADEHS <br />SINK ISERV ICE-BAR, ETC.) <br />SVUTOTAL <br />PEFMIT 5 <br />TOiALFE[ S <br />Ni%i\ti�] <br />SPFCIALCONDITIONS: <br />���• <br />� <br />W <br />m <br />� <br />� <br />Z <br />r <br />� <br />� <br />W <br />_ C <br />13 ii 7 <br />I SUp TOTl�L 5 � i <br />PERMIT $ <br />TOTAL FEE 5 I <br />THIS PERMIi BECOMES NULI AND 4010 IF WORK OF CONSTRVC� I <br />TION AUTNORI2EO IS NOT COMMENCEO WITNIN 120 DAVS, Oli If � <br />CONSiRUCT10N OH WORK IS SUSPENDEO OP ApANOONEO FOR A <br />PERIOD OP 120 DAYS AT ANV TIME AFTER WOFK IS COMMENCED. ' <br />I MERE�V CERTIFV TMAT I HAVE qEAO AND E%AMIN[D THIS A�' <br />PLICATION AND KNOW TH[ SAME TO [3E TRUE /1NO CORFECT. A�L <br />PROVISIONS OF LAWS ANO OR�INANCES GOVERNIhG THIS TVPE <br />OF WORK WILL 6E COMPLIEO N9TH WHETHEFi SP@CIFIEO HEREIN <br />OFi NOT, THE G(iANTING OF A PERMIT UOES NOT PFiESUME TO <br />GIVE AUTHORITV TO VIOLATE OR CANCEL THE PflOVISIONS Of- <br />ANv OTN[R STnTE OR LOCnI LAVJ REGUL�1iING CONSTFUCTION <br />CR 7HE PERFOFMANCE OF CONSTflVCTION. <br />x �I �.. <br />SIGNATUREOFCONTRACTOROIY�UTH.AG[NT UME <br />RLAFYARDSETf3l�CKPLANCHECKNUMP[P PLANCHECh'FEE <br />FEE FECEIVT NU. <br />VACANT SITE <br />❑vE5 ❑No FEES VALUA710N FEE <br />NO.OF �WELLWG • � I <br />UNITS <br />MA%.00Q LO/+D DUIL�ING S � _ I <br />PLUMBING � i <br />FIRESPRINKLEflS � <br />REDUIRE� MECHAHICAL I <br />❑VES ❑Nf <br />� — — I <br />OTNER � I <br />PEtJ[L1Y SEC.3091n1 � <br />TOTAL �--- � I <br />PERMIT VALIDATION i <br />— NH[IJ PqOPBRLV V ALIUATED iiN T1u; S�ACLI TH151G \"OUR P[RA111 <br />